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February 12, 2026Journal of Nutrition and Metabolism2 citationsOpen Access

Magnitude of Stunting and Its Determinants Among Under‐Five Children in Awi Zone, Northwest Ethiopia

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NBNigussie Adam BirhanKGKefale Tilahun GetahunZWZelalem Meraf Wolde

Key Points

  • This research aims to evaluate the prevalence and determinants of stunting in children under five in Awi Zone, Ethiopia.
  • Conducted a community-based cross-sectional study
  • Sample of 1388 children selected through multistage sampling
  • Data collected via structured and pretested questionnaires
  • Used STATA software for data analysis
  • Applied multivariable logistic regression to identify factors associated with stunting.
  • Stunting prevalence in Awi Zone is 24.9%
  • Significant factors include wealth index (AOR: 0.46) and health insurance (AOR: 0.45)
  • Older children (24–59 months) have a higher risk (AOR: 30.40)
  • Access to toilet facility (AOR: 0.46) and institutional delivery (AOR: 0.48) reduce stunting risk
  • Exclusive breastfeeding significantly lowers risk (AOR: 0.11).

Abstract

Introduction Stunting is a major global health concern, with an estimated 154.8 million children under 5 years old. This study aimed to assess the prevalence and the contributing factors of stunting among children under 5 years old in Awi Zone, Northwest Ethiopia. Methods A community‐based cross‐sectional study was conducted on 1388 participants selected using a multistage sampling method. Structured and pretested questionnaires were used to collect the data, and STATA software was used for analysis. Multivariable logistic regression analysis was performed to identify the factors associated with stunting. Results The prevalence of stunting in Awi Zone was 24.9%. Rich wealth index (AOR: 0.46), health insurance (AOR: 0.45), child aged 24–59 months (AOR: 30.40), medium birth weight (AOR: 0.53), having toilet facility (AOR: 0.46), male child (AOR: 1.92), 2 nd or 3 rd birth order (AOR: 1.99), institutional delivery (AOR: 0.48), exclusive breastfeeding (AOR: 0.11), and ANC (AOR: 0.64) are significantly associated with stunting. Conclusion To reduce child stunting, governmental and nongovernmental organizations should design and implement public health interventions targeting poor households and those without health insurance and should enhance institutional delivery and ANC visits.

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Cite This Study

Birhan et al. (2026) studied this question.

synapsesocial.com/papers/698d6d795be6419ac0d526afhttps://doi.org/10.1155/jnme/5984957
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